BWH emergency radiology--surgical correlation: sigmoid volvulus

Area of Science:

• Gastroenterology
• Radiology
• Surgical Pathology

Background:

• Large bowel obstruction is a common surgical emergency.
• Sigmoid volvulus is a rare but significant cause of obstruction, particularly in certain demographics.
• Delayed diagnosis can lead to severe morbidity and mortality.

Observation:

• A case of sigmoid volvulus presenting as large bowel obstruction in a 52-year-old female is detailed.
• Radiological findings suggestive of sigmoid volvulus are correlated with intraoperative observations.
• The clinical presentation included significant abdominal pain.

Findings:

• Sigmoid volvulus was confirmed as the cause of large bowel obstruction.
• Radiological and intraoperative findings demonstrated a clear correlation.
• The obstruction posed a risk of bowel ischemia and necrosis.

Implications:

• Highlights the importance of considering sigmoid volvulus in the differential diagnosis of bowel obstruction.
• Emphasizes the need for prompt diagnosis and management to prevent ischemic complications.
• Underscores the value of integrating radiological and surgical findings for accurate diagnosis.